Individual
DR. OLIVER ELLSWORTH HOIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2018 CLINCH AVE, KNOXVILLE, TN 37916-2301
(865) 541-8485
(865) 541-8727
Mailing address
PO BOX 15010, KNOXVILLE, TN 37901-5010
(865) 541-8485
(865) 541-8727
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
39612
TN
207LP3000X
Pediatric Anesthesiology Physician
ME155164
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100048702
TENNCARE PHP
TN
01
—
4105413
TENNCARE SELECT
TN
05
—
5440547
—
TN
01
—
64101496
KENTUCKY MEDICAID
KY
Enumeration date
08/11/2006
Last updated
02/25/2022
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